Statutes, codes, and regulations
South Dakota Administrative Rules
Title 67 - Department of Social ServicesArticle 67:54 - Medical programs administered by Department of Human Services
Chapter 67:54:06 - Assistive daily living services for individuals with quadriplegia
Section 67:54:06:13 - Payment, procedure codes, and limits for covered services

S.D. Admin. R. 67:54:06:13

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Current through Register Vol. 51, page 57, November 12, 2024
Section 67:54:06:13 - Payment, procedure codes, and limits for covered services

Payment for assistive daily living services is limited to the following procedure codes:

PROCEDURE

CODE

PROCEDURE

T1019

Services of a personal attendant

T1016

Case management

S5115

Consumer preparation

S5160

Emergency response device

T1000

Private duty nursing

A provider may bill for no more than three units of services of a personal attendant if the actual service time is less than 45 minutes and the personal attendant did not provide services for another consumer immediately preceding or subsequent to the services provided to the consumer on whose behalf the services are being billed.

The Department of Human Services shall establish the rate of payment in the provider agency's contract.

S.D. Admin. R. 67:54:06:13

21 SDR 230, effective 7/13/1995; 26 SDR 99, effective 1/30/2000; 30 SDR 135, effective 3/16/2004.

General Authority: SDCL 28-6-1(2).

Law Implemented: SDCL 28-6-1(2).